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Understanding quality improvement

Quality Improvement (QI) is the term used for a group of methods that adopts a problem-solving approach to improve health worker performance through review of service delivery processes, planning for improvement and acting upon those plans.

QI is a part of several Bill & Melinda Gates Foundation’s investments in low-income settings, including in Nigeria, Ethiopia and India. But little is yet known about how QI works through, for example, leadership, quality of teamwork, supportive supervision or organisational culture.

IDEAS uses novel qualitative and quantitative approaches in Ethiopia to understand how QI approaches can influence health worker behaviours to improve care and how they affect both the delivery of services and the utilisation of services by patients. To do this we interview health care providers participating in a quality improvement intervention.

In Lagos, Nigeria our research aims to understand the processes put in place for quality improvement in the public and private sector and in primary and secondary level facilities.

Published content

Blog Post
“I felt like I should have delivered at home”

The Northeast of Nigeria has some of the highest rates of maternal and newborn deaths in the world. Drastically reducing this number of...

Journal article
Understanding mistreatment during institutional delivery in Northeast Nigeria

There is growing evidence from Nigeria and around the world that women who deliver their babies in health facilities can experience mistreatment....

Journal article
Stronger diagnostic abilities for common childhood illnesses needed in Ethiopia

This paper published by Theodros Getachew et al in Acta Paediatrica reveals findings from a study which included a survey and observations of the...

Blog Post
A new partnership with the University of Lagos

The prototype phase of NHQI was implemented in Lagos between April 2015 and September 2017. To institutionalise gains from the prototype phase,...

Blog Post
Investigating the high rates of C-sections in private hospitals in Delhi, India

Rates of C-sections in India are relatively low overall at around 17% (IIPS, 2016),  but the story is different in the private sector.  Research...

Journal article
Why are C-section rates in private Indian health facilities unreasonably high? The providers’ view

Although the overall rate of caesarean deliveries in India remains low, rates are higher in private than in public facilities. In a household...